Individual
JAYLA BREANN LANGFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S 5TH ST, SPRINGFIELD, IL 62703-2312
(217) 544-3143
Mailing address
1020 S 5TH ST, SPRINGFIELD, IL 62703-2312
(217) 544-3143
(217) 544-4436
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.030975
IL
Other
Enumeration date
07/31/2018
Last updated
04/10/2025
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